Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03778 | Date 22/02/2019 |
| Token No | SM/18-19/9227 22/02/2019 | Serial | 004 Last Visit: 05/12/2024 |
| Patient Name | Mr. UDAY KUMAR PAL | Contact No | 9674523263 |
| Address | 24/A CHATRA KUMER PARA | Age | 53 Years,11 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||